A structured literature review exploring eating disorder patient experiences within primary care settings

Eating disorders (ED) are complex mental health conditions that are increasing in prevalence. They have significant morbidity and mortality rates and are associated with increasing healthcare costs. ED patients often hide or minimise their symptoms during consultations and help seeking rates are low. Primary care clinicians, including nurses, frequently serve as the primary contact for ED patients seeking help, ideally positioned to facilitate a positive experience and provide appropriate support and management. This literature review examined the experiences of patients with ED when presenting to primary care settings, with the objective of identifying factors that contribute to both positive and negative patient experiences. Experiences were predominantly negative, indicating a necessity for primary care clinicians to adopt a more holistic approach, and be aware of the needs of patients presenting with ED. Additionally there are primary care training needs that would ensure increased confidence in assessment, management and referrals for specialist care.